| NPI | 1548893043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN ELLINGTON MCCANN Owner/President 503-708-0559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-04-06 |